Printout: Track your Results

To participate in the Equilibrium Diet Research Study, open and save the following form before you begin the Equililbrium Diet: Equilibrium Diet Research Questionnaire

This word document can be edited with your information. Please fill out and email to us at – after 60 days and 120 days, please fill out the form again and resubmit with the new date and using the exact same name or unique number identifier so that we can track your results and aggregate them with hundreds of others. All information is kept confidential and you will remain anonymous unless you desire to be listed as a case study.

For wellness coaching clients, download the New Client Intake form here: newPatient